2018-11-19T10:00:43-06:00 2017-12-31 990 2017-01-01 113251128 LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY % NORTHWELL HEALTH INC LONG 5163216058 972 BRUSH HOLLOW ROAD Suite 5TH FL WESTBURY NY 11590 MICHELE L CUSACK SVP & CFO 5163216058 2018-11-01 69.27.229.128 12051120183195000000 2018-11-15 P 64888C196846E503F90B13161ED1827B039267C6 0CD7CF4964C06A5C296622734294A70AD3EA8837 2017 2019-02-21 02:37:17Z NORTH SHORE LIJ STAFFING MICHAEL J DOWLING 2000 MARCUS AVENUE NEW HYDE PARK NY 11042 169558 false X WWW.NORTHWELL.EDU X 1994 NY NORTH SHORE-LIJ Staffing Services provides nursing care and hi-tech infusion therapy. As part of NORTHW- ELL its mission is to improve the health of the communities it serves. 8 6 118 0 0 0 408225 169558 2675 0 0 0 410900 169558 0 0 0 0 178202 126077 0 0 0 99703 14140 277905 140217 132995 29341 179045 192523 543401 527539 -364356 -335016 NORTH SHORE-LIJ STAFFING SERVICES PROVIDES NURSING SERVICES AND HIGH TECH INFUSION THERAPY. AS PART OF NORTHWELL HEALTH ITS MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. false false 129309 169558 TO PROVIDE THE HIGHEST QUALITY OF NURSING SERVICES AND TO PROVIDE HIGH TECH INFUSION THERAPY AS A COST EFFECTIVE ALTERNATIVE TO HOSPITALIZATION WITH ADDITIONAL SOCIAL AND PSYCHOLOGICAL BENEFITS TO PATIENTS AND FAMILIES IN NASSAU, SUFFOLK AND QUEENS COUNTIES. 129309 true false false false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 118 true false false false false false false false false false false false false false false false X 8 6 true false false false false true true true true false false true true true true true true true true false NY X X NORTHWELL HEALTH INC 5163216058 972 BRUSH HOLLOW ROAD WESTBURY NY 11590 MICHAEL J DOWLING PRESIDENT & CEO 0.0 50.0 X X 0 4041927 54840 RICHARD D GOLDSTEIN immediate past CHAIRMAN 0.0 2.0 X X 0 0 0 MARK CLASTER Chairman 0.0 3.0 X X 0 0 0 WILLIAM L MACK VICE CHAIRMAN 0.0 2.0 X X 0 0 0 BARRY RUBENSTEIN VICE CHAIRMAN 0.0 2.0 X X 0 0 0 Saul B Katz DIRECTOR 0.0 2.0 X 0 0 0 Roy J Zuckerberg DIRECTOR 0.0 2.0 X 0 0 0 RALPH NAPPI TRUSTEE & EVC 0.0 50.0 X X 0 995438 48848 HOWARD B GOLD EVP, CHF MGD CARE 0.0 50.0 X 0 1779494 48495 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0.0 50.0 X 0 2473309 782518 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0.0 50.0 X 0 1649071 48848 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0.0 50.0 X 0 951732 254399 HARRY GINDI Assistant Secretary 0.0 50.0 X 0 356152 48821 ALAN I GREENE TREASURER 0.0 2.0 X 0 0 0 DONALD ZUCKER SECRETARY 0.0 2.0 X 0 0 0 Laura Peabody SVP & Chief Legal Officer 0.0 50.0 X 0 1058897 222944 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0.0 50.0 X 0 1260472 300149 MICHELE CUSACK SVP & CFO 0.0 50.0 X 0 1071679 149487 RICHARD MILLER EVP & Chf Business Strategy Of 0.0 50.0 X 0 1109260 218236 LAURENCE KRAEMER SVP, Interim Chf Lgl Of 0.0 50.0 X 0 879404 58123 MARK GLOADE SVP Deputy GnCnsl & Asst Sec 0.0 50.0 X 0 576726 58123 MARY WINTER VACIRCA AVP, LIC HOME CARE AGENCY 50.0 0.0 X 228036 0 38231 HYMIE ARUCH MGR, PHARMACY 50.0 0.0 X 160528 0 24892 GERALYN CALIENDO DIR, HOME CARE SVCS 50.0 0.0 X 171807 0 16308 MARK MCGRATH RN, High Tech (RC, HC) 50.0 0.0 X 172669 0 44155 RENITA MAHABIR Pharmacist 50.0 0.0 X 167929 0 34606 900969 18203561 2452023 32 false true false NONE 0 0 PATIENT REVENUE 621610 169558 169558 169558 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169558 169558 0 0 0 0 0 0 78961 72707 6254 0 5384 4958 426 26260 24180 2080 15472 14247 1225 0 0 0 0 0 0 25 23 2 0 7731 7119 612 0 0 0 423 423 0 0 0 0 0 0 DUES AND SUBSCRIPTIONS 2763 2544 219 OTHER EXPENSES 1135 1045 90 PURCHASED SERVICES 2063 2063 140217 129309 10908 0 0 0 0 0 0 0 179045 192523 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 179045 192523 72779 97455 0 0 0 0 0 0 0 0 0 0 0 0 0 0 470622 430084 543401 527539 X -364356 -335015 0 0 0 0 -364356 -335015 179045 192524 29341 X false true X true false X X 1 LONG ISLAND JEWISH MEDICAL CENTER 112241326 3 true 0 0 1 true false false false false false false false false false false false false false false true false 0 DUE TO AFFILIATES 430084 430084 X 169558 169558 169558 140217 140217 140217 PART X, LINE 2 Certain entities included in Northwells consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2017 and 2016, Northwell has a deferred income tax asset OF approximately $123,000,000 and $142,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $573,000,000, which expire in varying amounts through 2037, and are available to offset future taxable income. X X X X X false true false false false false false false false MICHAEL J DOWLING PRESIDENT & CEO 0 1474558 0 2543853 0 23516 0 29700 0 25140 0 4096767 0 0 HOWARD B GOLD EVP, CHF MGD CARE 0 1076639 0 670464 0 32391 0 29700 0 18795 0 1827989 0 0 MARK J SOLAZZO EVP, CHIEF OPERATING OFFICER 0 1444332 0 1000000 0 28977 0 770985 0 11533 0 3255827 0 0 ROBERT S SHAPIRO EVP, CHIEF FINANCIAL OFFICER 0 1171054 0 421415 0 56602 0 29700 0 19148 0 1697919 0 0 DONNA DRUMMOND SVP, CONSOLIDATED SERVICES 0 684675 0 235506 0 31551 0 225976 0 28423 0 1206131 0 0 HARRY GINDI Assistant Secretary 0 304506 0 47201 0 4445 0 29700 0 19121 0 404973 0 0 MARY WINTER VACIRCA AVP, LIC HOME CARE AGENCY 207574 0 18000 0 2462 0 19082 0 19149 0 266267 0 0 0 Laura Peabody SVP & Chief Legal Officer 0 707941 0 282134 0 68822 0 203936 0 19008 0 1281841 0 0 HYMIE ARUCH MGR, PHARMACY 153007 0 5000 0 2521 0 15032 0 9860 0 185420 0 0 0 EUGENE S TANGNEY SVP, CHIEF ADMIN OFFICER 0 997983 0 251479 0 11010 0 271726 0 28423 0 1560621 0 0 GERALYN CALIENDO DIR, HOME CARE SVCS 138433 0 5000 0 28374 0 15708 0 600 0 188115 0 0 0 MICHELE CUSACK SVP & CFO 0 775211 0 284418 0 12050 0 121106 0 28381 0 1221166 0 0 RICHARD MILLER EVP & Chf Business Strategy Of 0 777892 0 299893 0 31475 0 198971 0 19265 0 1327496 0 0 LAURENCE KRAEMER SVP, Interim Chf Lgl Of 0 632884 0 204756 0 41764 0 29700 0 28423 0 937527 0 0 MARK GLOADE SVP Deputy GnCnsl & Asst Sec 0 469518 0 67744 0 39464 0 29700 0 28423 0 634849 0 0 RALPH NAPPI TRUSTEE & EVC 0 720899 0 243445 0 31094 0 29700 0 19148 0 1044286 0 0 MARK MCGRATH RN, High Tech (RC, HC) 98242 0 0 0 74427 0 15760 0 28395 0 216824 0 0 0 RENITA MAHABIR Pharmacist 105895 0 0 0 62034 0 15476 0 19130 0 202535 0 0 0 PART I, LINE 4B Certain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Mark J. Solazzo ($741,285), Michele L. Cusack ($91,406), Richard Miller ($169,271), Donna Drummond ($196,276), Laura Peabody ($174,236), and Eugene Tangney ($242,026). Schedule J, Part II, Column (F) The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan. PART VI, SECTION A - GOVERNING BODY, LINE 2 All transactions with Northwell Health entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Richard D. Goldstein has a business relationship with Barry Rubenstein. William Mack has business relationships with Barry Rubenstein and Roy Zuckerberg. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Roy Zuckerberg has a business relationship with William Mack. PART VI, SECTION B - POLICIES, LINE 11 The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees. PART VI, SECTION B - POLICIES, LINE 12C Northwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation. PART VI, SECTION B - POLICIES, LINE 15 The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations. PART VI, SECTION C - DISCLOSURES, LINE 19 CURRENTLY THE ORGANIZATION PROVIDES GOVERNANCE DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. PART VII, SECTION A - LINE 1A, COLUMN (B) This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates. PART VI, SECTION A - GOVERNING BODY, LINE 7 Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system. 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